Eclampsia

Q: All of the followings are the antecedent signs & symptoms of Eclampsia except?

A) Hypertension 
B) Headache 
C) Visual disturbances 
D) Ankle clonus
E) Left upper quadrant pain 


Answer: E

About 3/4th of the patients with eclampsia have some antecedent signs and symptoms developing in the hours prior to the initial seizure. Hypertension is the most common sign followed by a headache. Although visual disturbances have been classically described only a quarter of the women developed this. Ankle clonus is also reported.

It's a right upper quadrant or epigastric pain which is common, proposed to be due to stretching of the liver capsule.

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References:

1. Berhan Y, Berhan A. Should magnesium sulfate be administered to women with mild pre-eclampsia? A systematic review of published reports on eclampsia. J Obstet Gynaecol Res 2015; 41:831. 

2. Chuan FS, Charles BG, Boyle RK, Rasiah RL. Population pharmacokinetics of magnesium in preeclampsia. Am J Obstet Gynecol 2001; 185:593.